Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $115.45 / $665.00	Professional		$63.84	$115.45	$665.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $161.19 / $184.51	Professional		$81.28	$161.19	$184.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $133.62 / $237.99	Professional		$109.49	$133.62	$237.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $162.37 / $206.65	Professional		$77.33	$162.37	$206.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $184.51 / $239.31	Professional		$150.56	$184.51	$239.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $92.22 / $206.54	Professional		$29.27	$92.22	$206.54